Active NPI
Tamika Pegues, DPT
- Physical Therapist
- Knightdale, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9327
- Practice address
- 1000 Tandal PL
Knightdale, NC 27545-8842 - Phone
- (919) 295-5180
- NPI assigned
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9327 | NC | Primary |
Addresses
Primary practice location
1000 Tandal PL
Knightdale, NC 27545-8842
Mailing address
1000 Tandal PL
Knightdale, NC 27545-8842
Other practice location 1
1995 E Cornelius Harnett Blvd
Lillington, NC 27546-8276
Phone (910) 814-0880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TN, GA, NC
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Ridge Crest LN
Mount Airy, NC 27030-2457
Phone (336) 515-6013
119 Bryan Ave
Manchester, TN 37355-2585
Phone (931) 345-2655
504 Firetower Rd
Dublin, GA 31021-2642
Phone (478) 606-0582
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9327 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad River Rehabilitation | Physical Therapist | Current | Accepting new patients |
| Integrated Senior Care PC | Past | Accepting new patients |
Locations
504 Firetower Rd
Dublin, GA 31021
Phone (478) 606-0582
500 Eagle Lake Trl
Rome, GA 30165
Phone (706) 728-3600
1 Pond St
Arden, NC 28704
Phone 82877452220027
1000 Ridge Crest Ln
Mount Airy, NC 27030
Phone (336) 515-6013
915 W Cooksey Dr
Thomasville, NC 27360
Phone (336) 313-0224
3959 Fish Hatchery Rd
Gaston, SC 29053
Phone (803) 755-6541
119 Bryan Ave
Manchester, TN 37355
Phone (270) 993-4789
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Charlotte, NC
- NPI 1902317589
GA, Physical Therapist, SC, TN
-
- Geriatric Medicine (Family Medicine) Physician
- Saint Louis, MO
- NPI 1891689790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144503434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 TANDAL PL",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275458842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 TANDAL PL",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275458842",
"telephone_number": "919-295-5180"
}
],
"practiceLocations": [
{
"address_1": "1995 E Cornelius Harnett Blvd",
"address_purpose": "LOCATION",
"city": "Lillington",
"state": "NC",
"postal_code": "275468276",
"country_code": "US",
"telephone_number": "910-814-0880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEGUES",
"first_name": "TAMIKA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.